Pediatric Intussusception

by Carlo Raj, MD

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    Our topic now goes into pediatric intussusception. How did this take place? Well, intussusception here, maybe perhaps there is a vasculitis taking place of the intestines such as Henoch-Schönlein purpura. Maybe there is that Meckel's diverticulum or maybe in general, you just had folding of one intestine to the other. Folding. There’s something called intussuscipien, intussusceptum. That’s a little bit too much detail. The point is that the – there’s telescoping. Think about telescope. What do you do with a telescope? You pull it out. When you want to see something and you put it back in. Well, that’s what’s happening with intussusception. One area of the intestine is folding into another. Literally, telescoping. This is not good. The child is going to then have bilious vomiting. The child may then be passing blood through the stool. You might have heard of something called currant jelly stool. It looks so incredibly appetizing. I’m sorry that I’m being a little sick here, but whatever. It does, it looks like currant jelly. Amazing! There’s blood in the stool. In addition, When you feel the abdomen, but this time, you have a folding. This is not an olive. An olive means what? Pyloric stenosis. So what is this? You’re feeling a sausage and I’ll show you a picture upcoming. Let’s talk about intussusception. A portion of the GI tract telescoping into the portion distal to it. Early: six to two years of age. In fact, as rule of thumb in practice, you have an infant or a child between two months to two years with obstruction and colic. At this point, with that type of history, you are being very aggressive in terms of investigating intussusception. It is associated with lymphoid hyperplasia, Peyer’s patches, Meckel’s diverticulum or perhaps even rotavirus vaccine. Signs...

    About the Lecture

    The lecture Pediatric Intussusception by Carlo Raj, MD is from the course Pediatric GI Pathology.

    Included Quiz Questions

    1. Paralytic ileus
    2. Henoch Schoien purpura
    3. Polyps
    4. Meckels diverticulum
    5. Rota Vaccine
    1. Currant jelly stools
    2. Rice water stools
    3. Hematochezia with mucus
    4. Foul smelling mucoid stools
    5. Malena
    1. Barium enema
    2. Ultrasound
    3. Colonoscopy
    4. Air enema
    5. Plain X ray
    1. Sigmoidoscopy
    2. USG abdomen
    3. Air enema
    4. Barium enema
    5. X ray plain films
    1. A part of the intestine curls up into the other part of the intestine.
    2. Hypertrophy of the pyloric part of the stomach
    3. Twisting of the bowel wall
    4. Necrosis and inflammation of the bowel wall
    5. Inflammation of a diverticulum arising about 2 feet from the ileocecal junction

    Author of lecture Pediatric Intussusception

     Carlo Raj, MD

    Carlo Raj, MD

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